دورية أكاديمية

Preliminary results of a counselling programme for fertility preservation in female cancer patients: The experience of the GEMME DORMIENTI network.

التفاصيل البيبلوغرافية
العنوان: Preliminary results of a counselling programme for fertility preservation in female cancer patients: The experience of the GEMME DORMIENTI network.
المؤلفون: Ciccarone M; Department of Gynaecology, San Carlo di Nancy Hospital, Rome, Italy.; Gemme Dormienti Association ONLUS, Rome, Italy., Hohaus S; Policlinico Gemelli Foundation, Catholic University of the Sacred Heart, Rome, Italy., Pulsoni A; Department of Cellular Biotechnology and Haematology, Sapienza University, Rome, Italy., Cavaceppi P; LabAurelia, Rome, Italy., Franzò S; Gemme Dormienti Association ONLUS, Rome, Italy., Fabbri R; Gynaecology and Physiopathology of Human Reproduction Unit, Department of Medical and Surgical Sciences, S.Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy., Cudillo L; Haematology and Stem Cell Transplant Unit, Tor Vergata University, Roma, Italy., Battistini R; A.O. San Camillo Forlanini U.O.C. Ematologia e Trapianti CSE, Rome, Italy., Di Rocco A; Department of Cellular Biotechnology and Haematology, Sapienza University, Rome, Italy., Annibali O; UOC Haematology Stem Cell Transplantation, University Campus Bio Medico, Rome, Italy., Cox MC; Haematology Unit, Azienda Ospedaliera-Universitaria Sant'Andrea, Rome, Italy., Provenzano I; UOC Oncoematologia Fondazione Policlinico Tor Vergata, Rome, Italy., Abruzzese E; Ematologia Ospedale S. Eugenio Università Tor Vergata, Rome, Italy., Renzi D; Haematology and Stem Cell Transplant Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy., Tesei C; Gemme Dormienti Association ONLUS, Rome, Italy., Anticoli Borza P; UOC Ematologia- Azienda Ospedaliera San Giovanni-Addolorata, Rome, Italy., Cuccaro A; Policlinico Gemelli Foundation, Catholic University of the Sacred Heart, Rome, Italy., Andriani A; UOSD di Ematologia, Rome, Italy.; UOC di Ematologia, Osp. F. Spaziani, ASL Frosinone, Rome, Italy., D'Elia GM; Department of Cellular Biotechnology and Haematology, Sapienza University, Rome, Italy., Facchiano A; Department of Medical Oncology Sant' Andrea Hospital, Rome, Italy., Marchetti P; Department of Radiological, Oncological and Pathological Sciences, Sapienza University, Rome, Italy., Cantonetti M; UOC Oncoematologia Fondazione Policlinico Tor Vergata, Rome, Italy.
المصدر: European journal of cancer care [Eur J Cancer Care (Engl)] 2020 Jan; Vol. 29 (1), pp. e13174. Date of Electronic Publication: 2019 Sep 30.
نوع المنشور: Journal Article; Observational Study
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: England NLM ID: 9301979 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2354 (Electronic) Linking ISSN: 09615423 NLM ISO Abbreviation: Eur J Cancer Care (Engl)
أسماء مطبوعة: Publication: <1992- > : Oxford : Wiley
Original Publication: London : [Marston Book Services], 1991-
مواضيع طبية MeSH: Antineoplastic Agents/*adverse effects , Fertility Preservation/*methods , Gonadotropin-Releasing Hormone/*agonists , Infertility, Female/*prevention & control , Primary Ovarian Insufficiency/*prevention & control, Adolescent ; Adult ; Anti-Mullerian Hormone/blood ; Counseling ; Cryopreservation ; Estradiol/blood ; Female ; Follicle Stimulating Hormone/blood ; Humans ; Infertility, Female/chemically induced ; Longitudinal Studies ; Luteinizing Hormone/blood ; Oocyte Retrieval ; Oocytes ; Ovarian Follicle ; Ovarian Reserve ; Ovary ; Ovulation Induction ; Patient Preference ; Primary Ovarian Insufficiency/chemically induced ; Progesterone/blood ; Referral and Consultation ; Young Adult
مستخلص: Objective: To describe a population of patients referred for fertility preservation (FP), how to efficiently provide FP care, and how FP care changed over time.
Methods: This longitudinal observational study enrolled 281 female cancer patients referred between 2013 and 2016 to the non-profit organisation Gemme Dormienti ONLUS (GD) for FP care. All patients underwent the same battery of instrumental and laboratory diagnostic tests. GnRHa therapy was started at least seven days before CTh treatment.
Results: From 2013 to 2016, we observed a progressive increase in the number of patients referred for FP care. Out of 251 eligible patients, 135 patients were treated with GnRHa only, and 72 patients underwent GnRHa therapy and cryopreservation. The median time from GD referral to oocyte and ovarian tissue cryopreservation was 11 and 5 days respectively. Tissue cryopreservation requests increased during our study period (from four cases in 2013 to 17 cases in 2016). During follow-up, 17β-estradiol and FSH levels were significantly increased (p < .0001), and AMH levels were significantly decreased (p < .0001).
Conclusion: The rapid increase in the number of patients who requested FP care and in the complexity of FP procedures overtime reflects the need to improve quality of life for cancer patients.
(© 2019 John Wiley & Sons Ltd.)
References: AIOM (2016). Linee guida Preservazione della fertilità nei pazienti oncologici. AIOM.
Allen, P. B., Pavone, M. E., Smith, K. N., Kazer, R. R., Rademaker, A., Lawson, A. K., … Winter, J. N. (2018). The impact of fertility preservation on treatment delay and progression-free survival in women with lymphoma: A single-centre experience. British Journal of Haematology, 180(6), 901-904. https://doi.org/10.1111/bjh.14466.
Behringer, K., Thielen, I., Mueller, H., Goergen, H., Eibl, A. D., Rosenbrock, J., … Borchmann, P. (2012). Fertility and gonadal function in female survivors after treatment of early unfavorable Hodgkin lymphoma (HL) within the German Hodgkin Study Group HD14 trial. Annals of Oncology: Official Journal of the European Society for Medical Oncology, 23(7), 1818-1825. https://doi.org/10.1093/annonc/mdr575.
Ben-Aharon, I., Abir, R., Perl, G., Stein, J., Gilad, G., Toledano, H., … Ash, S. (2016). Optimizing the process of fertility preservation in pediatric female cancer patients - A multidisciplinary program. BMC Cancer, 16, 620. https://doi.org/10.1186/s12885-016-2584-7.
Blumenfeld, Z. (2016). Critical care for young women before chemotherapy: Preserving fertility using GnRH agonists. Critical Care Obstetrics and Gynecology, 2, 16.
Blumenfeld, Z., & Evron, A. (2016). Endocrine prevention of chemotherapy-induced ovarian failure. Current Opinion in Obstetrics and Gynecology, 28(4), 223-229. https://doi.org/10.1097/GCO.0000000000000278.
Blumenfeld, Z., Zur, H., & Dann, E. J. (2015). Gonadotropin-releasing hormone agonist cotreatment during chemotherapy may increase pregnancy rate in survivors. The Oncologist, 20(11), 1283-1289. https://doi.org/10.1634/theoncologist.2015-0223.
Cakmak, H., & Rosen, M. P. (2013). Ovarian stimulation in cancer patients. Fertility and Sterility, 99(6), 1476-1484. https://doi.org/10.1016/j.fertnstert.2013.03.029.
Cao, Y.-X., & Chian, R.-C. (2009). Fertility preservation with immature and in vitro matured oocytes. Seminars in Reproductive Medicine, 27(6), 456-464. https://doi.org/10.1055/s-0029-1241055.
Chiofalo, B., Palmara, V., Laganà, A. S., Triolo, O., Vitale, S. G., Conway, F., & Santoro, G. (2017). Fertility sparing strategies in patients affected by placental site trophoblastic tumor. Current Treatment Options in Oncology, 18(10), 58. https://doi.org/10.1007/s11864-017-0502-0.
Dalle, J.-H., Lucchini, G., Balduzzi, A., Ifversen, M., Jahnukainen, K., Macklon, K. T., … Bader, P. (2017). State-of-the-art fertility preservation in children and adolescents undergoing haematopoietic stem cell transplantation: A report on the expert meeting of the Paediatric Diseases Working Party (PDWP) of the European Society for Blood and Marrow Transplantation (EBMT) in Baden, Austria, 29-30 September 2015. Bone Marrow Transplantation, 52(7), 1029-1035. https://doi.org/10.1038/bmt.2017.21.
Del Mastro, L., Boni, L., Michelotti, A., Gamucci, T., Olmeo, N., Gori, S., … Venturini, M. (2011). Effect of the gonadotropin-releasing hormone analogue triptorelin on the occurrence of chemotherapy-induced early menopause in premenopausal women with breast cancer: A randomized trial. JAMA, 306(3), 269-276. https://doi.org/10.1001/jama.2011.991.
Del Mastro, L., Ceppi, M., Poggio, F., Bighin, C., Peccatori, F., Demeestere, I., … Bruzzi, P. (2014). Gonadotropin-releasing hormone analogues for the prevention of chemotherapy-induced premature ovarian failure in cancer women: Systematic review and meta-analysis of randomized trials. Cancer Treatment Reviews, 40(5), 675-683. https://doi.org/10.1016/j.ctrv.2013.12.001.
Demeestere, I., Brice, P., Peccatori, F. A., Kentos, A., Dupuis, J., Zachee, P., … Englert, Y. (2016). No evidence for the benefit of gonadotropin-releasing hormone agonist in preserving ovarian function and fertility in lymphoma survivors treated with chemotherapy: final long-term report of a prospective randomized trial. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 34(22), 2568-2574. https://doi.org/10.1200/JCO.2015.65.8864.
Deshpande, N. A., Braun, I. M., & Meyer, F. L. (2015). Impact of fertility preservation counseling and treatment on psychological outcomes among women with cancer: A systematic review. Cancer, 121(22), 3938-3947. https://doi.org/10.1002/cncr.29637.
Diesch, T., Rovo, A., von der Weid, N., Faraci, M., Pillon, M., Dalissier, A., … Bader, P. (2017). Fertility preservation practices in pediatric and adolescent cancer patients undergoing HSCT in Europe: A population-based survey. Bone Marrow Transplantation, 52(7), 1022-1028. https://doi.org/10.1038/bmt.2016.363.
Donnez, J., & Dolmans, M.-M. (2017). Fertility preservation in women. New England Journal of Medicine, 377(17), 1657-1665. https://doi.org/10.1056/NEJMra1614676.
Font-Gonzalez, A., Mulder, R. L., Loeffen, E. A. H., Byrne, J., van Dulmen-den Broeder, E., van den Heuvel-Eibrink, M. M., …PanCareLIFE Consortium (2016). Fertility preservation in children, adolescents, and young adults with cancer: Quality of clinical practice guidelines and variations in recommendations. Cancer, 122(14), 2216-2223. https://doi.org/10.1002/cncr.30047.
Fréour, T., Barrière, P., & Masson, D. (2017). Anti-müllerian hormone levels and evolution in women of reproductive age with breast cancer treated with chemotherapy. European Journal of Cancer, 74, 1-8. https://doi.org/10.1016/j.ejca.2016.12.008.
Garrido-Oyarzun, M. F., & Castelo-Branco, C. (2016). Controversies over the use of GnRH agonists for reduction of chemotherapy-induced gonadotoxicity. Climacteric, 19, 522-525. https://doi.org/10.1080/13697137.2016.1225713.
Gracia, C. R., Sammel, M. D., Freeman, E., Prewitt, M., Carlson, C., Ray, A., … Ginsberg, J. P. (2012). Impact of cancer therapies on ovarian reserve. Fertility and Sterility, 97(1), 134-140.e1. https://doi.org/10.1016/j.fertnstert.2011.10.040.
Iwase, A., Nakamura, T., Nakahara, T., Goto, M., & Kikkawa, F. (2015). Anti-Müllerian hormone and assessment of ovarian reserve after ovarian toxic treatment: A systematic narrative review. Reproductive Sciences, 22(5), 519-526. https://doi.org/10.1177/1933719114549856.
Jensen, A. K., Macklon, K. T., Fedder, J., Ernst, E., Humaidan, P., & Andersen, C. Y. (2017). 86 successful births and 9 ongoing pregnancies worldwide in women transplanted with frozen-thawed ovarian tissue: Focus on birth and perinatal outcome in 40 of these children. Journal of Assisted Reproduction and Genetics, 34(3), 325-336. https://doi.org/10.1007/s10815-016-0843-9.
Jones, G., Hughes, J., Mahmoodi, N., Smith, E., Skull, J., & Ledger, W. (2017). What factors hinder the decision-making process for women with cancer and contemplating fertility preservation treatment? Human Reproduction Update, 23(4), 433-457. https://doi.org/10.1093/humupd/dmx009.
ISFP Practice Committee, Kim, S. S., Donnez, J., Barri, P., Pellicer, A., Patrizio, P., … Dolmans, M.-M. (2012). Recommendations for fertility preservation in patients with lymphoma, leukemia, and breast cancer. Journal of Assisted Reproduction and Genetics, 29(6), 465-468. https://doi.org/10.1007/s10815-012-9786-y.
Laganà, A. S., La Rosa, V. L., Rapisarda, A. M., Platania, A., & Vitale, S. G. (2017). Psychological impact of fertility preservation techniques in women with gynaecological cancer. Ecancermedicalscience, 11, ed62. https://doi.org/10.3332/ecancer.2017.ed62.
Lambertini, M., Boni, L., Michelotti, A., Gamucci, T., Olmeo, N., Gori, S., … Del Mastro, L. (2014). Long-term outcome results of the phase III PROMISE-GIM6 study evaluating the role of LHRH analog (LHRHa) during chemotherapy (CT) as a strategy to reduce ovarian failure in early breast cancer (BC) patients. Journal of Clinical Oncology, 32(26_suppl), 105-105. https://doi.org/10.1200/jco.2014.32.26&#95;suppl.105.
Lambertini, M., Ceppi, M., Poggio, F., Peccatori, F. A., Azim, H. A., Ugolini, D., … Del Mastro, L. (2015). Ovarian suppression using luteinizing hormone-releasing hormone agonists during chemotherapy to preserve ovarian function and fertility of breast cancer patients: A meta-analysis of randomized studies. Annals of Oncology: Official Journal of the European Society for Medical Oncology, 26(12), 2408-2419. https://doi.org/10.1093/annonc/mdv374.
Lambertini, M., Cinquini, M., Moschetti, I., Peccatori, F. A., Anserini, P., Valenzano Menada, M., & Del Mastro, L. (2017). Temporary ovarian suppression during chemotherapy to preserve ovarian function and fertility in breast cancer patients: A GRADE approach for evidence evaluation and recommendations by the Italian Association of Medical Oncology. European Journal of Cancer, 71, 25-33. https://doi.org/10.1016/j.ejca.2016.10.034.
Lambertini, M., Del Mastro, L., Pescio, M. C., Andersen, C. Y., Azim, H. A., Peccatori, F. A., … Anserini, P. (2016). Cancer and fertility preservation: International recommendations from an expert meeting. BMC Medicine, 14, 1. https://doi.org/10.1186/s12916-015-0545-7.
Lambertini, M., Ginsburg, E. S., & Partridge, A. H. (2015). Update on fertility preservation in young women undergoing breast cancer and ovarian cancer therapy. Current Opinion in Obstetrics & Gynecology, 27(1), 98-107. https://doi.org/10.1097/GCO.0000000000000138.
Lambertini, M., Horicks, F., Del Mastro, L., Partridge, A. H., & Demeestere, I. (2019). Ovarian protection with gonadotropin-releasing hormone agonists during chemotherapy in cancer patients: From biological evidence to clinical application. Cancer Treatment Reviews, 72, 65-77. https://doi.org/10.1016/j.ctrv.2018.11.006.
Lawson, A. K., Klock, S. C., Pavone, M. E., Hirshfeld-Cytron, J., Smith, K. N., & Kazer, R. R. (2014). Prospective study of depression and anxiety in female fertility preservation and infertility patients. Fertility and Sterility, 102(5), 1377-1384. https://doi.org/10.1016/j.fertnstert.2014.07.765.
Letourneau, J. M., Ebbel, E. E., Katz, P. P., Katz, A., Ai, W. Z., Chien, A. J., … Rosen, M. P. (2012). Pretreatment fertility counseling and fertility preservation improve quality of life in reproductive age women with cancer. Cancer, 118(6), 1710-1717. https://doi.org/10.1002/cncr.26459.
Lewin, J., Ma, J. M. Z., Mitchell, L., Tam, S., Puri, N., Stephens, D., … Gupta, A. (2017). The positive effect of a dedicated adolescent and young adult fertility program on the rates of documentation of therapy-associated infertility risk and fertility preservation options. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 25(6), 1915-1922. https://doi.org/10.1007/s00520-017-3597-8.
Loren, A. W., Mangu, P. B., Beck, L. N., Brennan, L., Magdalinski, A. J., & Partridge, A. H., …American Society of Clinical Oncology (2013). Fertility preservation for patients with cancer: American Society of Clinical Oncology clinical practice guideline update. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 31(19), 2500-2510. https://doi.org/10.1200/JCO.2013.49.2678.
Meirow, D., Ra'anani, H., Shapira, M., Brenghausen, M., Derech Chaim, S., Aviel-Ronen, S., … Dor, J. (2016). Transplantations of frozen-thawed ovarian tissue demonstrate high reproductive performance and the need to revise restrictive criteria. Fertility and Sterility, 106(2), 467-474. https://doi.org/10.1016/j.fertnstert.2016.04.031.
Moore, H. C. F., Unger, J. M., Phillips, K.-A., Boyle, F., Hitre, E., Porter, D., … Albain, K. S. (2015). Goserelin for ovarian protection during breast-cancer adjuvant chemotherapy. The New England Journal of Medicine, 372(10), 923-932. https://doi.org/10.1056/NEJMoa1413204.
Moravek, M. B., Confino, R., Smith, K. N., Kazer, R. R., Klock, S. C., Lawson, A. K., … Pavone, M. E. (2018). Long-term outcomes in cancer patients who did or did not pursue fertility preservation. Fertility and Sterility, 109(2), 349-355. https://doi.org/10.1016/j.fertnstert.2017.10.029.
Oktay, K. (2001). Ovarian tissue cryopreservation and transplantation: Preliminary findings and implications for cancer patients. Human Reproduction, 7(6), 526-534. https://doi.org/10.1093/humupd/7.6.526.
Oktay, K., Demirtas, E., Son, W.-Y., Lostritto, K., Chian, R.-C., & Tan, S. L. (2008). In vitro maturation of germinal vesicle oocytes recovered after premature luteinizing hormone surge: Description of a novel approach to fertility preservation. Fertility and Sterility, 89(1), 228.e19-228.e22. https://doi.org/10.1016/j.fertnstert.2007.02.028.
Partridge, A. H., Gelber, S., Peppercorn, J., Sampson, E., Knudsen, K., Laufer, M., … Winer, E. P. (2004). Web-based survey of fertility issues in young women with breast cancer. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 22(20), 4174-4183. https://doi.org/10.1200/JCO.2004.01.159.
Peccatori, F. A., Azim, H. A., Orecchia, R., Hoekstra, H. J., Pavlidis, N., & Kesic, V., …ESMO Guidelines Working Group. (2013). Cancer, pregnancy and fertility: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Annals of Oncology: Official Journal of the European Society for Medical Oncology, 24 Suppl 6, vi160-170. https://doi.org/10.1093/annonc/mdt199.
Practice Committee of American Society for Reproductive Medicine (2013). Fertility preservation in patients undergoing gonadotoxic therapy or gonadectomy: A committee opinion. Fertility and Sterility, 100(5), 1214-1223. https://doi.org/10.1016/j.fertnstert.2013.08.012.
Quinn, G. P., Woodruff, T. K., Knapp, C. A., Bowman, M. L., Reinecke, J., & Vadaparampil, S. T. (2016). Expanding the oncofertility workforce: Training allied health professionals to improve health outcomes for adolescents and young adults. Journal of Adolescent and Young Adult Oncology, 5(3), 292-296. https://doi.org/10.1089/jayao.2016.0003.
Razzano, A., Revelli, A., Delle Piane, L., Salvagno, F., Casano, S., Randaccio, S., & Benedetto, C. (2014). Fertility preservation program before ovarotoxic oncostatic treatments: Role of the psychological support in managing emotional aspects. Gynecological Endocrinology: The Official Journal of the International Society of Gynecological Endocrinology, 30(11), 822-824. https://doi.org/10.3109/09513590.2014.944153.
Ruddy, K. J., Gelber, S. I., Tamimi, R. M., Ginsburg, E. S., Schapira, L., Come, S. E., … Partridge, A. H. (2014). Prospective study of fertility concerns and preservation strategies in young women with breast cancer. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 32(11), 1151-1156. https://doi.org/10.1200/JCO.2013.52.8877.
Salama, M., Isachenko, V., Isachenko, E., Rahimi, G., & Mallmann, P. (2016). Updates in preserving reproductive potential of prepubertal girls with cancer: Systematic review. Critical Reviews in Oncology/Hematology, 103, 10-21. https://doi.org/10.1016/j.critrevonc.2016.04.002.
Siegel, R. L., Miller, K. D., & Jemal, A. (2017). Cancer Statistics, 2017. CA: A Cancer Journal for Clinicians, 67(1), 7-30. https://doi.org/10.3322/caac.21387.
Sigismondi, C., Papaleo, E., Vigano, P., Vailati, S., Candiani, M., Ottolina, J., … Mangili, G. (2015). Fertility preservation in female cancer patients: A single center experience. Chinese Journal of Cancer, 34(1), 56-60. https://doi.org/10.5732/cjc.014.10252.
Stensheim, H., Cvancarova, M., Møller, B., & Fosså, S. D. (2011). Pregnancy after adolescent and adult cancer: A population-based matched cohort study. International Journal of Cancer, 129(5), 1225-1236. https://doi.org/10.1002/ijc.26045.
Tavares, R. L., Senra, J. C., Talim, M. C., & Reis, F. M. (2016). Fertility preservation with the use of GnRH analogue in women undergoing chemotherapy for lymphoma: A systematic review and meta-analysis. Fertility and Sterility, 106(3), e133. https://doi.org/10.1016/j.fertnstert.2016.07.396.
Van der Ven, H., Liebenthron, J., Beckmann, M., Toth, B., Korell, M., Krüssel, J., … Dittrich, R. (2016). Ninety-five orthotopic transplantations in 74 women of ovarian tissue after cytotoxic treatment in a fertility preservation network: Tissue activity, pregnancy and delivery rates. Human Reproduction, 31(9), 2031-2041. https://doi.org/10.1093/humrep/dew165.
Vitale, S. G., La Rosa, V. L., Rapisarda, A. M. C., & Laganà, A. S. (2018). Fertility preservation in women with gynaecologic cancer: The impact on quality of life and psychological well-being. Human Fertility, 21(1), 35-38. https://doi.org/10.1080/14647273.2017.1339365.
Vitale, S. G., Rossetti, D., Tropea, A., Biondi, A., & Laganà, A. S. (2017). Fertility sparing surgery for stage IA type I and G2 endometrial cancer in reproductive-aged patients: Evidence-based approach and future perspectives. Updates in Surgery, 69(1), 29-34. https://doi.org/10.1007/s13304-017-0419-y.
Vu, J. V., Llarena, N. C., Estevez, S. L., Moravek, M. B., & Jeruss, J. S. (2017). Oncofertility program implementation increases access to fertility preservation options and assisted reproductive procedures for breast cancer patients. Journal of Surgical Oncology, 115(2), 116-121. https://doi.org/10.1002/jso.24418.
Wong, M., O'Neill, S., Walsh, G., & Smith, I. E. (2013). Goserelin with chemotherapy to preserve ovarian function in pre-menopausal women with early breast cancer: Menstruation and pregnancy outcomes. Annals of Oncology: Official Journal of the European Society for Medical Oncology, 24(1), 133-138. https://doi.org/10.1093/annonc/mds250.
معلومات مُعتمدة: OPM (Otto Per Mille) Chiesa Evangelica Valdese
فهرسة مساهمة: Keywords: GnRHa; cancer; counselling; fertility preservation; oocyte cryopreservation; ovarian tissue cryopreservation
المشرفين على المادة: 0 (Antineoplastic Agents)
33515-09-2 (Gonadotropin-Releasing Hormone)
4G7DS2Q64Y (Progesterone)
4TI98Z838E (Estradiol)
80497-65-0 (Anti-Mullerian Hormone)
9002-67-9 (Luteinizing Hormone)
9002-68-0 (Follicle Stimulating Hormone)
تواريخ الأحداث: Date Created: 20191002 Date Completed: 20201116 Latest Revision: 20201116
رمز التحديث: 20240628
DOI: 10.1111/ecc.13174
PMID: 31571303
قاعدة البيانات: MEDLINE
الوصف
تدمد:1365-2354
DOI:10.1111/ecc.13174